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Frenectomy in Dentistry

Frenectomy (frenulectomy, frenuloplasty, frenotomy) is a procedure that removes a frenum or frenulum in the mouth. There are 3 types of frenum, a labial, a lingual, and a buccal frenum. A frenum is the muscular attachment found between 2 tissues inside of the mouth. An upper labial frenectomy is the removal of the frenum found between the upper lip and gums, also known as the lip tie. A lower labial frenectomy is the removal of the frenum found between the lower lip and gums, which can create gum recession. A lingual frenectomy is the removal of the frenum found between the floor of the mouth and the bottom center of the tongue, also known as the tongue tie. A buccal frenectomy is the removal of the frenum found between the cheeks and the gums, also known as the cheek or buccal ties.  


Symptoms of Frenectomies


·         poor latch                                                                   ·         painful/difficulty breastfeeding

·         acid reflux                                                                   ·         colic, gassy

·         GI issues                                                                     ·         Poor weight gain

·         Short sleep episodes                                                   ·         Falling asleep while attempting to nurse

·         Incomplete drainage after feeding                             ·         Mastitis and/or low milk supply

·         Long feeding episodes



·         Space between two front teeth                                    ·         Orthodontic issues

·         Food aversion                                                             ·         Choking on fluids

·         Loud breathing/sleep apnea                                       ·         Poor weight gain

·         Speech impediments (i.e. lisping, issues with enunciation)



·         Neck/shoulder pain                                                   ·         Headaches/migraines

·         GI issues                                                                   ·         TMJ problems

·         Food aversion                                                          ·         Speech impediments (i.e. lisping, issues with enunciation)

·         Sleep apnea                                                              ·         Receding gums

·         Poor fitting dentures                                                ·         Incomplete orthodontics treatments

·         Crowding of lower teeth


Benefits of the Frenectomy

If you are experiencing or seeing any of the symptoms listed above, it is best to get examined to determine if you or your child are in need of a frenectomy. Some frenum are mild, and may not require a procedure, but it is best to be examined if in doubt. Most symptoms can show immediate changes, while some may take longer to be corrected depending on age and severity. It is best to have this addressed as soon as possible, as it prevents symptoms from worsening as you age. Unless it is corrected, it will permanently be there and continue to present issues in the future.

Information on the Frenectomy with Dr. Gina Tanios-Rafla

Dr. Tanios-Rafla uses a Waterlase iPlus® laser to complete the revision. It usually takes a few minutes to be completed, and does not require any stiches. The Waterlase iPlus® laser is one of the most powerful and versatile lasers; it can perform more types of procedures than any other type of dental laser on the market. Using a laser means no scalpels, no scissors, no cutting, and no stiches are required to perform the procedure.

For more information, please visit our Tongue-Tie and Lip-Tie pages.

When you come for an appointment, the doctor will first complete an evaluation to determine what is required, and discuss it with you. This opportunity will allow you to ask any questions you have prior to completing the procedure. The doctor will also review after-care instructions with you. If you have any questions, or would like to schedule your consultation, please give us a call at 732-238-1760 or click here.



Large gap between the two front teeth                 Buccal Ties


Tongue Tie                                                            Lip Tie (with gap between the front teeth) 

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